PENICILLIN TOLERANCE AND ERYTHROMYCIN RESISTANCE OF GROUP-A BETA-HEMOLYTIC STREPTOCOCCI IN HAWAII AND THE PHILIPPINES

被引:37
作者
WITTLER, RR
YAMADA, SM
BASS, JW
HAMILL, R
WIEBE, RA
ASCHER, DP
机构
[1] TRIPLER ARMY MED CTR, DEPT PEDIAT, BOX 330, HONOLULU, HI 96859 USA
[2] KAPIOLANI MED CTR WOMEN & CHILDREN, DEPT PEDIAT, HONOLULU, HI USA
[3] TRIPLER ARMY MED CTR, DEPT PATHOL, HONOLULU, HI 96859 USA
[4] USAF, REG MED CTR, CLARK AFB, PHILIPPINES
来源
AMERICAN JOURNAL OF DISEASES OF CHILDREN | 1990年 / 144卷 / 05期
关键词
D O I
10.1001/archpedi.1990.02150290081033
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Penicillin remains the drug of choice for the treatment of streptococcal pharyngitis, with erythromycin as an alternative drug for individuals who cannot take penicillin. Two areas of concern in the management of streptococcal pharyngitis are (1) the prevalence of penicillin-tolerant group A β-hemolytic streptococci reported in recent studies and (2) the high prevalence of erythromycin resistance in some geographic areas. We tested 305 isolates of group A β-hemolytic streptococci from Hawaii and the Philippines for penicillin minimum inhibitory concentrations and minimum bactericidal concentrations and erythromycin minimum inhibitory concentrations. There was no evidence of penicillin resistance or tolerance. The prevalence of erythromycin-resistant and moderately susceptible isolates was 3.6% and 2.3%, respectively. There was a trend toward greater erythromycin resistance levels among Hawaiian isolates, but this was not statistically significant. © 1990, American Medical Association. All rights reserved.
引用
收藏
页码:587 / 589
页数:3
相关论文
共 19 条
[1]   DISCREPANCY BETWEEN MINIMUM INHIBITORY AND MINIMUM BACTERICIDAL CONCENTRATIONS OF PENICILLIN FOR GROUP-A AND GROUP-B BETA-HEMOLYTIC STREPTOCOCCI [J].
ALLEN, JL ;
SPRUNT, K .
JOURNAL OF PEDIATRICS, 1978, 93 (01) :69-71
[2]  
ARTHUR JD, 1984, PEDIATR INFECT DIS J, V3, P489, DOI 10.1097/00006454-198409000-00022
[3]   TREATMENT OF STREPTOCOCCAL PHARYNGITIS REVISITED [J].
BASS, JW .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1986, 256 (06) :740-743
[4]   STREPTOCOCCAL PHARYNGITIS IN CHILDREN - COMPARISON OF 4 TREATMENT SCHEDULES WITH INTRAMUSCULAR PENICILLIN-G BENZATHINE [J].
BASS, JW ;
CRAST, FW ;
KNOWLES, CR ;
ONUFER, CN .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1976, 235 (11) :1112-1116
[5]   PENICILLIN IN THE TREATMENT OF STREPTOCOCCAL INFECTIONS - A COMPARISON OF EFFECTIVENESS OF 5 DIFFERENT ORAL AND ONE PARENTERAL FORM [J].
BREESE, BB ;
DISNEY, FA .
NEW ENGLAND JOURNAL OF MEDICINE, 1958, 259 (02) :57-62
[6]   PREVENTION OF RHEUMATIC FEVER BY TREATMENT OF PREVIOUS STREPTOCOCCAL INFECTION .1. EVALUATION OF BENZATHINE PENICILLIN-G [J].
CHAMOVITZ, R ;
CATANZARO, FJ ;
STETSON, CA ;
RAMMELKAMP, CH .
NEW ENGLAND JOURNAL OF MEDICINE, 1954, 251 (12) :466-471
[7]   CURRENT PROBLEMS IN MANAGING STREPTOCOCCAL PHARYNGITIS [J].
DENNY, FW .
JOURNAL OF PEDIATRICS, 1987, 111 (06) :797-806
[8]   EFFICACY OF BENZATHINE PENICILLIN-G IN GROUP-A STREPTOCOCCAL PHARYNGITIS - REEVALUATION [J].
FELDMAN, S ;
BISNO, AL ;
LOTT, L ;
DODGE, R ;
JACKSON, RE .
JOURNAL OF PEDIATRICS, 1987, 110 (05) :783-787
[9]  
GASTANADUY AS, 1980, LANCET, V2, P498
[10]   ERYTHROMYCIN - REVIEW OF ITS USES IN PEDIATRIC PRACTICE [J].
GINSBURG, CM ;
EICHENWALD, HF .
JOURNAL OF PEDIATRICS, 1976, 89 (06) :872-884